STATE OF MISSOURI (NPI# 1124187760) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124187760 |
| Entity Type | Organization |
| Organization Name | STATE OF MISSOURI |
| Other Organization Name | KANSAS CITY REGIONAL CENTER |
| Practice Address |
821 E Admiral Blvd Kansas City MO 64106 |
| Mailing Address |
1706 E Elm St Jefferson City MO 65102-0687 |
| Practice Telephone | 8168893400 |
| Practice Fax Number | 8168893325 |
| Mailing Telephone | 5737513398 |
| Mailing Fax Number | 5735264560 |
| Enumeration Date | 2006-12-08 |
| Last Update Date | 2020-10-27 |
| Authorized Official Name | MOLLY JANE BOECKMANN (DIRECTOR OF ADMINISTRATIVE SERVICES) |
| Authorized Official Telephone | 5737514055 |
| Is Organization Subpart | Y |
| Parent Organization Name | STATE OF MISSOURI |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251C00000X | Day Training, Developmentally Disabled Services | EXEMPT | MO | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 851792002 | 05 |
| Other Name | Type Code |
|---|---|
| Kansas City Regional Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437781499 | State of Missouri | Rehabilitation Counselor | 3418 Knipp Dr, Jefferson City, MO 65109-5701 | 2020-02-07 |
| 1275073280 | State of Missouri | General Practice | 1547 W Commerce Drive, Marshall, MO 65340-3907 | 2017-02-24 |
| 1528333085 | State of Missouri | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1000 N Colorado St, Nevada, MO 64772-1618 | 2012-03-16 |
| 1386843621 | State of Missouri | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 15555 Little Blue Rd, Kansas City, MO 64139 | 2007-07-17 |
| 1922207679 | State of Missouri | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 5410 Rinker Rd, Kansas City, MO 64129-2308 | 2007-07-13 |
| 1760681415 | State of Missouri | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1501 N River Blvd, Independence, MO 64050-1760 | 2007-07-13 |
| 1164630463 | State of Missouri | Intermediate Care Facility, Mentally Retarded | 11 Brady Cir, Overland, MO 63114-1110 | 2007-05-18 |
| 1548322605 | State of Missouri | Day Training, Developmentally Disabled Services | 1500 Vandiver Dr Ste 100, Columbia, MO 65202-3932 | 2006-12-15 |
| 1366503153 | State of Missouri | Day Training, Developmentally Disabled Services | 471 E Slater St, Marshall, MO 65340 | 2006-12-13 |
| 1427118033 | State of Missouri | Day Training, Developmentally Disabled Services | 522 Star St, Marshall, MO 65340 | 2006-12-12 |
| Street Address |
821 E ADMIRAL BLVD |
| City | KANSAS CITY |
| State | MO |
| Zip Code | 64106 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164813879 | Jayhawk Primary Care Inc | Clinic/Center | 1403 Grand Blvd, Kansas City, MO 64106 | 2015-02-17 |
| 1538509724 | William Ballew Mccollum | Independent Medical Examiner | 601 E. 12th St., 12th Floor, Kansas City, MO 64106 | 2013-07-02 |
| 1902936917 | Occupational Health Centers of Kansas Pa | Clinic/Center | 720 Oak Street, Kansas City, MO 64106 | 2007-03-07 |
| 1689749582 | Larry Flick Wilson | Preventive Medicine | Faa, Ace-300, 901 Locust Street, Rm 350, Kansas City, MO 64106 | 2006-11-24 |
| 1487661369 | Steve A Rueb | Dentist | 1125 Grand Blvd, Suite 1313, Kansas City, MO 64106 | 2006-08-02 |
| 1275933103 | Comassion Home Care, LLC | Home Health | 1019 Admiral Blvd, Kansas City, MO 64106 | 2014-08-28 |
| 1487054284 | Compassion Home Care, LLC | In Home Supportive Care | 1019 Admiral Blvd, Kansas City, MO 64106 | 2014-08-28 |
| 1689803561 | Christina Marie Maenle | Registered Nurse | 3901 Rainbow, Suite G600, Kansas City, KS 64106 | 2009-07-13 |
| 1609025782 | Concentra Health Services, Inc. | Clinic/Center | 720 Oak Street, Kansas City, MO 64106 | 2008-09-15 |
| 1659580918 | Michael Kent Whitehead | Marriage & Family Therapist | 500 E 3rd St, #634, Kansas City, MO 64106-1010 | 2007-05-22 |
| Find all providers in zip 64106 | ||||
| Taxonomy Code | 251C00000X |
| Grouping | Agencies |
| Classification | Day Training, Developmentally Disabled Services |
| These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841770955 | Goodwill of Western Missouri and Eastern Kansas | Day Training, Developmentally Disabled Services | 1817 Campbell St, Kansas City, MO 64108-1739 | 2018-08-17 |
| 1588105092 | Altar Support, Inc | Day Training, Developmentally Disabled Services | 2750 N 87th St, Kansas City, KS 66109-1437 | 2017-03-16 |
| 1184957920 | Pamela A Ramsey | Day Training, Developmentally Disabled Services | 8316 Prospect Ave, Kansas City, MO 64132-2301 | 2009-09-11 |
| 1689830119 | Cola's Place | Day Training, Developmentally Disabled Services | 6507 Nw Hilldale Dr, Kansas City, MO 64151-2328 | 2008-08-04 |
| 1942468517 | Trademark Services | Day Training, Developmentally Disabled Services | 4413 Ditzler Ave, Kansas City, MO 64133-1424 | 2008-05-29 |
| 1881895399 | Jackson County, Missouri | Day Training, Developmentally Disabled Services | 10700 East 109th Street, Kansas City, MO 64134-4103 | 2007-05-30 |
| 1043436421 | Delonns Residential Services | Day Training, Developmentally Disabled Services | 2300 Main St Ste 900, Kansas City, MO 64108-2408 | 2007-04-17 |
| 1336262625 | Compassionate Care LLC | Day Training, Developmentally Disabled Services | 5404 N Broadway St, Kansas City, MO 64118-4410 | 2007-04-09 |
| 1841312899 | Caring Hands, Inc. | Day Training, Developmentally Disabled Services | 9530 James A Reed Rd, Kansas City, MO 64134-1689 | 2007-04-03 |
| 1669592309 | Nova Center Inc. | Day Training, Developmentally Disabled Services | 8401 Hickman Mills Dr, Kansas City, MO 64132-2513 | 2007-03-29 |
| Find all providers in KANSAS CITY | ||||
| City | KANSAS CITY |
| Zip Code | 64106 |
Please comment or provide details below to improve the information on STATE OF MISSOURI.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.